Tonya Marie Martin, R.PH.
Individual provider Active NPI Pharmacist · Isom, KY
NPI 1073650487 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073650487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 010873 (KY)
- Practice address
- 93 Isom Plaza Box 250
Isom, KY 41824 - Phone
- (606) 633-9238
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010873 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010873 | KY | Yes |
Addresses
Primary practice location
93 Isom Plaza Box 250
Isom, KY 41824
Mailing address
538 Ridgeview Way
Hazard, KY 41701-8924
Phone (606) 438-3182
Other providers in Isom, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.